Lens iol ant bicnvx 24.0 multi at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$712.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,187.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$111.46 with Aetna vs $1,828.93 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare | $111.46 | ↓ -84% |
| Aetna | Neighborhood Network | $156.84 | ↓ -78% |
| Aetna | Home Depot Employer Group | $170.40 | ↓ -76% |
| Aetna | EBR FI | $171.76 | ↓ -76% |
| Aetna | NBR ASO/FI | $174.02 | ↓ -76% |
| Cigna | New Business ASO | $174.02 | ↓ -76% |
| Aetna | EBR ASO | $180.80 | ↓ -75% |
| Cigna | Commercial | $180.80 | ↓ -75% |
| InterGroup | PPO | $226.00 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $226.00 | ↓ -68% |
| PA Health & Wellness | PA Medicaid HMO | $248.60 | ↓ -65% |
| Cigna Behavioral Health | Commercial | $271.20 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $281.48 | ↓ -60% |
| Coventry/First Health | Commercial | $316.40 | ↓ -56% |
| Private Health Care Systems | PPO | $361.60 | ↓ -49% |
| SelectCare | Commercial | $361.60 | ↓ -49% |
| Humana | Commercial | $384.20 | ↓ -46% |
| UPMC Health Plan | CHIP | $887.99 | ↑ +25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,052.74 | ↑ +48% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,061.17 | ↑ +49% |
| Highmark BCBS of PA | Managed Care | $1,409.94 | ↑ +98% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,421.20 | ↑ +100% |
| UPMC Health Plan | Commercial | $1,828.93 | ↑ +157% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lens iol ant bicnvx 24.0 multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $612.00 | $92.72 – $887.99 |
| UPMC Bedford | Everett | $636.60 | $84.17 – $887.99 |
| UPMC East | Monroeville | $1,898.40 | $79.80 – $887.99 |
| UPMC Hamot | Erie | $764.40 | $278.82 – $278.82 |
| UPMC Northwest | Seneca | $561.00 | $723.64 – $1,074.55 |
| UPMC Horizon-Greenville | Greenville | $430.20 | $710.60 – $887.99 |
| UPMC Jameson | New Castle | $502.20 | $101.33 – $887.99 |
| UPMC Magee | Pittsburgh | $2,260.80 | $111.46 – $887.99 |